Hybrid Business Systems Analyst

at Medsuite Inc

• Job title: Business Systems Analyst
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Hyderabad, India

About the role

• Business Systems Analyst configuring and optimizing healthcare billing systems for Ventra. Collaborating with analysts and stakeholders to enhance revenue cycle management processes.

Responsibilities

• Configure and maintain billing system components to support revenue cycle processes such as claims generation, eligibility verification, provider enrollment, and payment posting.
• Translate business and regulatory requirements into accurate and scalable system configurations.
• Set up payer-specific rules and workflows including Medicare, Medicaid, and commercial payer guidelines.
• Support provider credentialing and enrollment data setup within the system to ensure timely claims submission.
• Work closely with Business Analysts to gather requirements and identify configuration solutions that align with operational goals.
• Partner with Quality Analysts to validate and test system configurations prior to go-live.
• Identify areas for process improvement and propose system enhancements to improve billing accuracy and operational efficiency.
• Document system configurations, workflows, and processes in a clear and maintainable format.
• Participate in user acceptance testing (UAT) and support training efforts as needed.
• Stay informed on regulatory changes and industry trends impacting healthcare billing and payer requirements.
• Perform ongoing maintenance activities within billing systems, including provider enrollment updates, annual payer contract renewals, fee schedule updates, and other configuration changes to ensure continued alignment with regulatory and operational requirements.

Requirements

• Bachelor’s degree in Healthcare Administration, Information Systems, Computer Science, or a related field (or equivalent work experience).
• 3+ years of experience in a healthcare business systems analyst or billing systems configuration role.
• Strong experience with US healthcare revenue cycle management, including insurance verification, claim submission, payment posting, and denials management.
• Familiarity with government insurance programs such as Medicare and Medicaid.
• Experience configuring healthcare billing platforms or RCM systems (e.g., Epic, Athenahealth, Cerner, or other custom billing engines).

Benefits

• Eligible for Ventra performance-based incentive plan
• Referral bonus opportunity